Individual
MS. CHAQUINAIS DESHERRON BIRCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
151 THAMES AVE, BAY ST LOUIS, MS 39520-5002
(985) 643-4575
(833) 222-4520
Mailing address
2104 GAUSE BLVD W STE A, SLIDELL, LA 70460-4130
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
232176
LA
363LF0000X
Family Nurse Practitioner
Primary
906151
MS
Other
Enumeration date
11/06/2019
Last updated
01/31/2024
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